A baby girl born with her bowel, liver and stomach on the outside of her body, was the only survivor of a set of triplets, Hexham, Northumberland, England, UK.
An ‘inside out’ baby who was born with her organs in a fragile sac resting on top of her stomach will soon receive life-changing surgery. The rare condition, in which her organs are in a bag of skin called an ‘Exompholas’ attached only to her belly button, meant she could have died if the sac had ruptured during delivery.
Her mother Joanne Marshall, 35, said: “The Exompholas is really just a sack made of very thin skin from the umbilical cord. We were told it could rupture and Nell would need immediate surgery to keep her organs sterile. Thankfully that didn’t happen. She is now one and her organs are still in the little bag of skin, on the outside of her belly, but it was taped to her stomach to encourage skin to grow over it.”
Later Nell was diagnosed with an aortopulmonary window, a hole in her heart. The condition is incredibly rare, accounting for only 0.1 per cent of all congenital heart defects, and Nell had to have an operation in which surgeon’s used pig’s skin to correct the hole. Besides, she suffered pneumonia, breathing problems and a raft of other complications."
“Initially the Exompholas was the biggest problem, but when we
found out about the hole that became the top priority. The doctors said
it was a very rare condition and they hadn’t seen a case like it for 30
years. They joked that they had to use textbooks from the 70s to treat
Nell but thankfully the operation was a success,” Mrs Marshall added.
Having dealt with the heart problem, Mrs Marshall and her husband
were allowed to bring Nell home with them after three months in the
hospital, but her Exompholas remained. The family were told that Nell
had to grow before she could undergo the invasive surgery to treat it,
so has been living with her condition for a year.
Exomphalos is a weakness of the baby’s abdominal wall, where the
umbilical cord joins it, allowing the organs to protrude outside the
body in a loose sac that surrounds the umbilical cord. The condition
occurs in around one in every 5,000 children.
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